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On Health and Money Blog -- U.S. News & World Report

An Unexpected Cost of Using Free Drug Samples

September 05, 2008 12:13 PM ET | Michelle Andrews | Permanent Link | Print

Reader Comments

Excellent

Very interesting article

What Are Your Thoughts

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Samples

I use an expensive med that has no generic (you bet I asked, too!). Thank god the doctor was sympathetic and gave me samples.

Free drug samples

Even if you do have insurance, in most cases, the insurance company will only pay for the generic form. If the patient wants the brand name, he or she pays a lot more. It's a racket and the drug and insurance companies are the beneficiaries.

Generics

We have this debate in Canada. But - generics are NOT always exactly the same. For instance, Health Canada allows up to a 20% differential in the active ingredients between brand name and generics. The excipient ingredients, the fillers and bonding agents, can also differ significantly. This practise is common in other countries that permit generic medications.

Not a big deal with most meds. But a HUGE deal if you have stabilized a patient on one med, and then they start on a generic. If they develop problems, or experience side-effects on generics they often drop the med entirely, without knowing that they are on something that is not exactly what they thought. That becomes a significant cost in human terms.

And the alternative is...

what?

Once in the Part D "donut-hole" what other choice is there?

People say to me, contact the pharma's and get assistance, but I my Catch-22 is that my disability income is just outside of the 200% or less of the Federal Poverty Guideline.

We're SURPRISED that there is seldom anything free in a "free sample"? Good grief, folks. That's why they are provided.

To keep you off Brand X or a generic.

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About On Health and Money

Senior Writer Michelle Andrews reports on how to be a smart health consumer and get the best care for your money. Write to her at onhealthmoney@usnews.com.

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